Medicine and Health Sciences Commons^™

A Southeastern Community's Knowledge, Attitudes, Intentions, And Beliefs Regarding The Role Of The Nurse Practitioner, Susan Robinson

Masters Theses and Doctoral Dissertations

The purpose of this quantitative descriptive study was to examine consumer knowledge,attitudes, intention, and beliefs about nurse practitioners(NPs ),to determine whether a relationship existed between knowledge,attitudes, intentions, and beliefs, and demographic variables of age, gender, ethnicity,education,degree, profession, type of insurance, :frequency of visits to a primary care provider in the past 12 months, and consumer exposure to nurse practitioners.A conceptual :framework combining Orem's self care deficit theory and Ajzen and Fishbein's theory of reasoned action.This framework was used to explain the relationship between knowledge,attitudes,intention, beliefs, and behavior and the nurse practitioner's role in intervening to affect change in that relationship.Subjects(n=202)from …

The Developmental Abilities Of Neonatal Intensive Care Unit Graduates, Cynthia A. Gonzalez

Theses and Dissertations - UTB/UTPA

Bayley Mental Psychomotor Developmental Indices Scores of 61 Neonatal Intensive Care Unit Graduates were examined to investigate whether a predicted early developmental lag would occur followed by an increase or "catch-up" over time. Results indicated that no significant changes occurred over time; however, mental (Bayley MDI) scores were lower than motor (Bayley PDI) scores particularly at the 4- and 22-month test age. Gross motor, fine motor, social, cognitive, and language development was also investigated to see whether expected differences among these domains occurred over time. Results indicated that gross motor scores were greater than all other domains. Ethnicity, birth weight, …

Risk Factors In Adolescents For Engaging In Sexual Behaviors, Dolores Calderon Castellano

Theses and Dissertations - UTB/UTPA

Teenage sexuality has become a social concern, because of its impact on teen pregnancy, sexually transmitted diseases, abortion, government aid and school drop-out. In an effort to better predict risk of early sexual activity, a secondary analysis was conducted on data collected from 413, 11-14 year old students attending the 6th, 7th and 8th grade levels in Hidalgo County, in south Texas. Parent-child Communication, Children's Religiosity, Educational Goals, Educational Grades, Self-Esteem, and Congruency of Sexual Values between children and parents were used as predictor variables. Multiple regression analysis revealed Congruency of Values, Educational Goals, Educational Grades and Religion as the …

Characterization Of Angiotensin Ii Receptor Subtypes In The Brain, David L. Saylor

Electronic Theses and Dissertations

The present studies explore binding, distribution, and function of angiotensin II (AII) receptors (AT$\sb1$ and AT$\sb2)$ in the brain. The discovery that sulfhydryl reducing agents masked some but not all AII receptors in the brain prompts an evaluation of commonly used binding assay buffer constituents. EDTA enhances binding (40%) at both AT$\sb1$ and AT$\sb2$ nuclei, while bacitracin did not alter binding at either receptor subtype. Phenanthroline and BSA differentially altered binding at AT1 (220% of control) and AT$\sb2$ (118% of control) receptors. The results indicate that phenanthroline and BSA would be poor buffer constituents for studies comparing binding at AT$\sb1$ …

The Process Of Ending Domestic Violence Among Latinas: Aguantando No Mas, Nancy A. Coffin-Romig Dnsc, Msn, Rn

Dissertations

The purpose of this study was to explore the sociocultural factors which play a role in the process of ending an abusive relationship among Latinas. Dimensional analysis was the method employed for the development of a grounded theory. Aguantando or enduring emerged from this study as pivotal in gaining an understanding of the process of ending an abusive relationship for Latinas. Participants indicated that personal and religious beliefs, the importance of family, and the needs of their children were reasons for aguantando or enduring the abuse. The decision to no longer aguantar, or endure, occurred through a series of encounters …

Correlates Of Staff Nurse Work Satisfaction In Hospitals With Shared Governance, Mary Kay Flynn Dnsc, Rn, Ccrn

Dissertations

Lack of staff nurse participation in hospital decision-making has been cited as a major reason for the dissatisfaction in nursing. Shared governance has been proposed as an organizational model that provides staff nurses with both the structure and the mechanism for having increased decision-making authority. The purpose of this study was to investigate the relationship of organizational culture, perceived importance of involvement and actual involvement in decision-making, the discrepancy between importance and involvement, staff nurse years of involvement in shared governance, control over nursing practice, and work satisfaction among staff nurses working in hospitals with shared governance. A descriptive, correlational …

Role Expectation Of Chief Nurse Executive Officers In Integrated Healthcare Systems Located In Highly Managed Care Markets, Daniel L. Gross Dnsc

Dissertations

The healthcare industry is undergoing radical transformation. Healthcare's transformation is characterized by new patterns of organization, alliance, management, administration, and governance. Traditional fee-for-service reimbursement strategies are rapidly dissolving and managed health care is proliferating. Managed care and managed competition are forcing hospitals and healthcare providers to reduce expenses and identify improved methods for healthcare delivery. Integrated healthcare delivery systems (IDSs) and networks are at the center of healthcare reform. Chief Nurse Executive Officers (CNEOs) are increasingly finding themselves in roles within complex IDSs located within highly managed care markets (HMCMs). This new work environment is altering old and mandating new …

The Work Of Living With Hiv: A Study Of Binational Groups, Christina Joy Dnsc

Dissertations

The purpose of this investigation was to study the experience of individuals who live with and manage HIV infection and AIDS. The context of living with HIV/AIDS, the prevailing conditions, the actions/strategies used, and the consequences of the actions were considered using grounded theory methodology and dimensional analysis. A purposeful sample of 21 individuals HIV positive or diagnosed with AIDS from San Diego, California and Tijuana, Mexico were interviewed using semi-structured questions. Data were analyzed using open and axial coding, the constant comparative method, and dimensional analysis. The work of living with HIV emerged as the central dimension within the …

Living With Changing Health: Perimenopause Among Chinese Women In Taiwan, Lee-Ing Tsao Dnsc, Mnsc, Rn

Dissertations

The purpose of this qualitative study was to generate theory about women's perimenopausal life experiences. Thirty-five Taiwanese women aged 40 to 59 who perceived themselves as perimenopausal and who were not using hormone therapy were interviewed. Data were generated from interviews which were conducted in Mandarin. Living with Changing Health was the core category for describing and guiding the process of perimenopause. During this process, Awareness was identified as the antecedent condition. Once the woman became aware, she would begin the process of living with her changing health. This process would be marked by action and interaction among the categories …

Igniting The Mind: Engaging Nursing Students In The Process Of Learning, Jo-Ann L. Rossitto Dnsc, Ma, Rn

Dissertations

The purpose of this grounded theory study was to explore the perceptions of associate degree nursing faculty regarding their classroom teaching experiences. A purposive, convenience sample of twenty-one educators volunteered to participate in the study. Data were primarily obtained through semi-structured interviews over a period of six months. Data collection and analysis occurred simultaneously utilizing the constant comparative method. Igniting the Mind emerged as the core category of the study. This category represented the methods nurse educators use to involve students in the process of learning. Igniting the Mind entails making a connection, letting go, getting buy-in, trying something new, …

The Experiences Of Taiwanese Women Caregiving For Parents-In-Law, Shu-Yuan Chao Dnsc

Dissertations

Using grounded theory, a semi-structured in-depth interview was conducted to explore the experiences of Taiwanese women who were caregivers for their parents-in-law. Thirty-one Taiwanese women aged 23 to 58 participated in this study. Just Doing was identified as the core category to indicate the caregivers' striving process once they committed to their in-laws' care. Recognizing Duty, Experiencing Trials, and Responding to Caregiving were subcategories and reflected how a caregiver perceived her role, how she was affected by caregiving tasks, and what responses she had to the caregiving situation. The findings also suggested that caregiving behaviors were influenced by cultural expectations …

The Perspectives Of The Woman/Nurse/Executive Working In The Managed Care Environment Of Southern California, Cheryl Lynn Brandi Dnsc, Ms, Msn, Rn

Dissertations

The purpose of this study was to explore the perspectives of the woman/nurse/executive working in the managed care environment of Southern California. This research was extremely timely because (a) Southern California leads the nation in managed care market penetration, (b) changes in health care financing have resulted in a prolific expansion of nurse executive responsibilities, and (c) nurse executive experiences regarding increased responsibilities have not been researched. Role expansion impacts both male and female nurse executives, but female nurse executives must confront the dilemma of functioning in administrative domains which have been largely dominated by men. Knowledge about their experiences …

Determinants Of Health-Promoting Lifestyle Among Nurses In Taiwan, Chou Chuan-Chiang Yao Dnsc, Ms, Rn

Dissertations

This two-phase study was undertaken to: (1) determine the relationships of self-efficacy, perceived health status, perceived social support, age, marital status, education, work shift, work setting, and years employed as a registered nurse (RN) to the practice of a health-promoting lifestyle; (2) determine the combination of predictor variables explaining the variance in the practice of a health-promoting lifestyle; and (3) investigate other personal and environmental cues and characteristics related to health-promoting lifestyles among nurses (N = 218) in Taiwan. Findings of the quantitative approach in Phase One indicated that a health-promoting lifestyle was significantly related to self-efficacy, perceived health status, …

Devolpment Of A Scale To Assess Home Health Care Aides' Ability To Recognize Depression In Older Adults, Tina M. Nerney

Community & Environmental Health Theses & Dissertations

Depression afflicts 20% to 40% of people 65 and older. Depression in older adults is frequent and chronic. The challenge of a hospital stay and the knowledge of having a long term disability may increase the risk for a depressive episode. In today's health care environment older adults are being released from hospitals after a short length of stay and are frequently dependent on home health services for assistance with activities of daily living. Home health care aides are given the responsibility of providing these services to the older adult in the home environment and need to be aware of …

Black English, Karen Tibbitts Filimoehala

Undergraduate Honors Capstone Projects

Black English has recently entered the media spotlight with the passing of the Ebonics resolution by the Oakland School Board on Dec. 18, 1996. In this resolution, the school board unanimously voted to recognize Black English or "Ebonics" (a term which combines the words "ebony" and "phonetics")(LeLand & Joseph, 1997, p. 78) as the primary language of many of its students, and to teach students in their primary language in order to maintain the "legitimacy and richness" of the language, and to help students master standard English. Needless to say, the resolution was met with highly charged arguments - some …

Fetal Alcohol Syndrome: Information And Intervention Strategies For School, Home, And Therapeutical Settings, Mindy Dawn Anderson

Undergraduate Honors Capstone Projects

I was introduced into the world of Fetal Alcohol Syndrome winter quarter, 1996. My goals for that year included researching this topic in order to understand what it was physically, behaviorally, and on a cognitive level. My assignment involved writing a research paper around those characteristics, along with the development of their speech and language, presenting my findings to my classmates, and competing at the USU Scholar's Day competition in May of 1996. I received 2nd place at this competition. During the summer of that year, I researched FAS more to receive the needed resources to compile an annotated bibliography …

Aflatoxin B1 Metabolism In Mammalian Pulmonary Tissue, J. Michael Eichelberger

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

Aflatoxin B₁ (AFB₁) is a potent dietary hepatocarcinogen and may be a lung carcinogen when inhaled. To study the relative ability of lung and liver to metabolize AFB₁, a susceptible (Swiss-Webster rat) and resistant species (Syrian golden hamster) were pretreated with inducing agents in order to identify specific AFB₁ metabolizing enzymes in each tissue.

Analysis of AFB₁-exo-epoxide (AFBO) formation, O-dealkynation assays, and protein immunoblots demonstrated that cytochrome P450 (CYP) 1A proteins were overexpressed in both the lung and liver of hamsters pretreated with 3-methylchyolanthrene (3-MC). Only CYP1A1 was expressed in the lung …

Alterations In Human B Cell Calcium Homeostasis By Polycyclic Aromatic Hydrocarbons: Possible Associations With Cytochrome P450 Metabolism And Increased Tyrosine Phosphorylation, Barbara J. Mounho

Pharmaceutical Sciences ETDs

Polycyclic aromatic hydrocarbons (PAHs), are known immunotoxicants in animals, and are suspect toxins to the human immune system. The mechanism(s), however, by which PAHs exert immunosuppression have not been fully elucidated. Previous studies conducted in our laboratory have shown that PAHs, such as 7,12-dimethylbenz(a)- anthracene (DMB A) and benzo(a)pyrene (BaP) may exert their immunotoxic effects by altering intracellular calcium (Ca2+) homeostasis in lymphocytes. Intracellular Ca2+ is an important second messenger in the immune response, and the mobilization of Ca2+ is critical in the transduction of intracellular signals from the plasma membrane to the nucleus. The overall objective of this project …

The Effect Of The Hapad Longitudinal Metatarsal Arch Pad On Ground Reaction Forces And Rear Foot Angle, William F. Rocker

Masters Theses

The effectiveness of the Hapad Longitudinal Metatarsal Arch Pad (HLMAP) to correct for pronation was investigated using 30 female volunteer student subjects. The investigation consisted of measuring ground reaction forces measured by a force plate and rear foot angle (RFA) measured by video digitization. The repeated measures design consisted of l grouping variable with 3 levels, supinators, mildpronators, and over pronators, and 2 research variables, 10 trials, and pad/no-pad. The results indicated (a) no significant difference for medial or lateral force, propulsive force, vertic al thrust, negative torque among groups, or between pad/no-pad; (b) a significant difference was found for …

A Correlational Study Of Infertility And Marital Satisfaction, Charles H. Mccomb Jr.

Theses

This study examined the correlation between infertility and marital satisfaction. Thirty-six subject participated in the study. The participants were recruited from a support group. Other recruits came from friends. The survey was sent, completed, and returned by mail as to retain anonymity. The subjects came from St. Louis, MO. Most of the individuals in the study were white, Non-Hispanic, middle class, and college graduates. Each individual completed a demographic questionnaire and the Kansas Marital Satisfaction Scale. The compiled results found that there is a significant relationship between gender and marital satisfaction in a group of individuals with fertility problems. Another …

The Influence Of Low Dietary Fat Intake On Incidence And Severity Of Migraine Headache, Zuzana Bic

Loma Linda University Electronic Theses, Dissertations & Projects

Migraine headaches are a common and debilitating syndrome causing untold suffering and loss of productivity. A review of the literature indicates that there are two primary factors involved in triggering these headaches: high levels of blood lipids and high levels of free fatty acids. Under these conditions platelet aggregability is increased, which is associated with decreases in serotonin and heightened prostaglandins levels. These conditions may produce vasodilation, the most immediate precursor to migraine headache. A high fat diet is one factor that may directly affect this process. This study was undertaken to evaluate the impact of dietary fat intake on …

Expression Of A Leptin Receptor In The Bovine Ovary, Christopher Morrison

Honors Capstones

No abstract provided.

Changes In Spinal Height Supine And Walking In Subjects With And Without Lower Back Pain, Dave Gregory

Rehabilitation Sciences Theses & Dissertations

Purpose: The purpose of this study was to develop and test a device that could be used in clinical situations to measure spinal height in subjects with lower back pain.

Introduction: Spinal height measurement provides information on the impact of spinal loading on the intervertebral disc. The stadiometer is presently the most accurate device for this purpose but users of the device must be trained to be measured. This excludes untrainable subjects such as those with lower back pain. For this study, a new ins1rument was developed combining aspects of the stadiometer and other devices to produce a simpler method …

The Effects Of Procedural Explanation In Lessening Anxiety During Dental Hygiene Care, Michelle Leigh Sensat

Dental Hygiene Theses & Dissertations

The purpose of this investigation was to determine if procedural explanation, given during dental hygiene care, significantly reduces client anxiety. The sample consisted of 62 subjects selected randomly from the population of all current clients, with records dating from 1994 to the present, of a private general dental practice in Virginia Beach, Virginia. A randomized subjects, pretest-posttest design was used to determine ii if procedural explanation yields a significant reduction in client anxiety as opposed to no such explanation during treatment procedures, measured by the Mann-Whitney U test and Wilcoxon matched-pairs tests. The Dental Hygiene Fear Survey served as the …

Reliability Of The Saunders Electronic Inclinometer For The Assessment Of Lumbar Rom, Melanie C. Maneval

Rehabilitation Sciences Theses & Dissertations

The American Medical Association (AMA) advocates using the inclinometer for the measurement of spinal motion. Clinicians however, have not yet adopted this method in practice. Much controversy exists within the health care community with regard to which measurement method is the most reliable. The purpose of this study was: (1) to clarify the work that has been performed to date and (2) to examine the intrarater and interrater reliability of the Saunders Electronic Inclinometer for the assessment of lumbar flexion, extension, lateral flexion and rotation. The authors concluded that the SEI demonstrated moderate to good reliability for the assessment of …

The Effects Of A Maternal Childhood Lead-Poisoning Education Program On Knowledge, Health Beliefs, And Compliance, Sylvia Elaine Johnson

Health Services Research Dissertations

The purpose of this study is to determine the effects of two educational intervention methods on participant's knowledge, health beliefs and prevention behavior as they relate to childhood lead poisoning. The two educational methods being used in the study are personal instruction by the investigator and a 12-minute video developed by the American Academy of Pediatrics on childhood lead poisoning. Information contained in both educational tools is identical. In particular, this study seeks to determine if one educational intervention was more effective than the other. The final purpose of the study is to test the Health Belief Model by examining …

Rethinking Appropriateness: A Look At Hegemonic Ideals As Related To Perceived Communication Competence In Women, Kristi L. Meade

Dissertations and Theses

The author argues that the hegemonically-constructed criteria of "appropriateness," as related to communication competence, is not palatable or functional for female communicators much of the time for it serves a social milieu which marginalizes women. Spitzberg and Duran (1993) state, "appropriateness seems spring loaded towards the status quo'' and may work against the interests of certain groups. In this paper, the author attempts to illuminate evidence of power imbalances covertly imbedded in the ideologically complex determination of appropriateness as a central criteria for communication competence in women. Competence theory is problematic and must be re-evaluated: it is contradictory and confusing, …

Ataxia-Telangiectasia: The Hour Glass Of Life, Megan Clancy

Undergraduate University Honors Capstones

This paper discusses what is Ataxia-Telangiectasia (A-T), and how this childhood disease could help scientists worldwide better understand more common diseases if more funding for A-T research were available. A-T originated as Louis Barr Syndrome, and the name changed as doctors noticed those patients had ataxia and telangiectasia. These same doctors also noticed that A-T happened frequently within families. Further research showed that A-T was on chromosome 11q23. The A-T gene is an important gene, and a better understanding of A-T will reveal many details of mechanisms involved in how common diseases progress.

Effects Of Lifestyle Change And Satisfaction With Voice On Psychosocial Adjustment Of Laryngectomees, Susan M. Nicks

Dissertations and Theses

This research sought to examine the level of psychosocial adjustment in a sample of laryngectomees by describing demographic characteristics, alcohol consumption, and tobacco use pre-cancer diagnosis and currently, satisfaction with voice, and by examining the relationship between each subject's level of psychosocial adjustment and lifestyle change, i.e. cessation of tobacco and/or alcohol consumption, and satisfaction with voice.

Twenty-one subjects completed (a) Demographic Questionnaire, (b) Lifestyle Questionnaire, (c) Satisfaction with Voice Scale, and (d) Psychosocial Adjustment to Illness Scale-Self Report (PAIS-SR). Descriptive and inferential statistics were completed.

The average age of the subject group (16 males, 5 females) was 72.5 years, …

Voice Measures And Listener Acceptance Of Tracheoesophageal Speech, Heidii Ilona Roberts

Dissertations and Theses

The purpose of this study was to investigate the relationship of perturbation measures, jitter and shimmer, and ratings of acceptability by naive listeners. Six tracheoesophageal (TEP) speakers and 14 naive listeners participated in the study. Each speaker was recorded while reading The Rainbow passage. The six samples of voice were then presented to the listeners for rating. The naive listeners used an equal appearing seven pint scale to rate voice acceptability. No significant correlation was found between the perturbation measures and the ratings of acceptability. Due to the small subject size in this study, the findings are inconclusive. The results …